HomeMy WebLinkAboutExhibit 6.'7,,:i3rne of C;c3ntraf..-,1:,-...)r, S
FY 2007-2008 CCFP rleneRfa Chec:Vist Of MaterNis 711-?,,,vsuh-ed
Sponsoring Organizatoa-Js of Centers •
Srid the fwnmate5lais and IINs ccst byOUTOget ICCrppmLPlease
check the items that you have enclosed.
.Checkif
• • E.nP10s0 •
Budget (with, red-iine changes) . . .
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Supplemental Budget for 8,,r)ecial only if ahargIng/expensing
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• •• •• • • '• •• • . Special 66st:item to the CcFP):,
3. Management Plan
4. Cont act with D,0.11. SLINTIii bcth copes w/original ,signetures •.
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5. Delegation of Signing ,tfuthority (if applicable) . •
6.. Shareholders LiSt Foi7.profit organizations. .
7. Board of Directors Certification • " Not-for.:•Profit prganizatior4
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8.••, Ethnic and Racal Data -"z I „ .",, " •
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Type of participating organization:1 0 For -profit organization. 0 Not -for -profit secular organization
0 Non -for -Profit faith -based organization ,0 Government agency 0 Educational institution 0 Other
is your organization a non-profit entity or a non-federal governmental entity that iaaeivOiti rnore.than $500,000 in
federal funds during its most recent fiscal year? Yes • No • x,),0
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If yes, what is your organization's Fiscal Year End date? Month/day
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I certify that all the enclosed infOrmation is true and correct to the best of my knowledge.
Contractor Authorized Representative